| Ally Behavioral Health, Llc | |
|
20 Cabot Blvd Ste 300 Mansfield MA 02048-1183 | |
| (774) 225-8877 | |
| (508) 318-5255 |
| Full Name | Ally Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Cabot Blvd Ste 300, Mansfield, Massachusetts |
| Authorized Official Name and Position | Gregory Todisco (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 7742258877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Behavioral Health, Llc 555 Pleasant St Ste 205 Attleboro MA 02703-2440 Ph: (774) 225-8877 | Ally Behavioral Health, Llc 20 Cabot Blvd Ste 300 Mansfield MA 02048-1183 Ph: (774) 225-8877 |
| NPI Number | 1629737283 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629737283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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